A nurse is developing a plan of care for a patient admitted with pneumonia who has cultural dietary restrictions. What is the most appropriate action?
Provide nutritional supplements instead of accommodating cultural preferences.
Advise the patient to follow the hospital's standard meal plan
Request the patient to bring meals from home to avoid complications
Collaborate with the dietary team to ensure meals align with the patient's cultural preferences
The Correct Answer is D
A. Provide nutritional supplements instead of accommodating cultural preferences: While supplements may meet nutritional needs, ignoring cultural preferences can reduce patient satisfaction and adherence to dietary recommendations, potentially impacting overall care.
B. Advise the patient to follow the hospital's standard meal plan: Forcing standard meals without considering cultural restrictions may cause distress, reduce intake, and compromise nutritional status. Respecting cultural needs supports holistic care.
C. Request the patient to bring meals from home to avoid complications: While bringing food from home may help, it may not meet the hospital’s safety standards or provide balanced nutrition. This is not a sustainable or controlled solution.
D. Collaborate with the dietary team to ensure meals align with the patient's cultural preferences: Partnering with the dietary team allows the patient’s cultural practices to be respected while maintaining safe, balanced nutrition. This promotes adherence, satisfaction, and holistic patient-centered care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Unstageable Pressure Injury: Unstageable injuries involve full-thickness tissue loss in which the wound bed is covered by slough or eschar, making the depth indeterminable. This does not describe the patient’s shallow, pink-red wound.
B. Stage 2 Pressure Injury: Stage 2 injuries are characterized by partial-thickness loss of dermis presenting as a shallow, open ulcer with a pink or red wound bed, without slough or eschar. The patient’s moist, shallow, pink-red sacral wound fits this classification.
C. Stage 1 Pressure Injury: Stage 1 injuries present as non-blanchable erythema of intact skin. Since the patient has a shallow open wound with partial-thickness loss, this stage is not appropriate.
D. Stage 3 Pressure Injury: Stage 3 injuries involve full-thickness tissue loss with visible subcutaneous fat, which may extend to but not through underlying fascia. The patient’s wound is shallow with partial-thickness loss, so stage 3 does not apply.
Correct Answer is A
Explanation
A. Wipe from front to back after using the restroom: This intervention reduces the transfer of fecal bacteria (commonly E. coli) from the perineal area to the urethra, directly targeting the mode of transmission in the chain of infection. Proper hygiene interrupts the pathway for bacterial entry into the urinary tract.
B. Increase fluid intake to flush out bacteria: Drinking adequate fluids helps dilute urine and promote urinary flow, which aids in clearing bacteria. While preventive, this action affects the host defense rather than the mode of transmission.
C. Take prescribed antibiotics as directed: Completing antibiotics prevents persistence or recurrence of infection by eliminating existing bacteria. This addresses the infectious agent rather than the transmission pathway.
D. Avoid using scented hygiene products: Scented soaps or feminine hygiene sprays can irritate the urethra and alter normal flora, but this primarily affects host susceptibility rather than the mode of transmission.
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